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General NPI Number Information
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NPI Number | 1033915996
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Entity Type | Organization
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Legal Business Name | BURKETT SERVICES LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 11399 HIGHWAY 231 431 N STE A
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City | MERIDIANVILLE
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State | AL
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Zip | 35759-2109
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Country | US
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Telephone | 256-828-5050
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Fax | 256-828-5098
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Provider Business Mailing Address
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Address Line | 134 SLADE THOMAS DR
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City | MERIDIANVILLE
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State | AL
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Zip | 35759-2805
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Country | US
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Telephone | 256-828-5050
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Fax | 256-828-5098
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. STEPHANIE AMANDA BURKETT
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Credential | DC
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Telephone | 256-828-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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